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First-in-Human and Proof-of-Mechanism Study of ARC19499 Administered to Hemophilia Patients

Phase 1
Terminated
Conditions
Hemophilia
Interventions
Drug: placebo control
Registration Number
NCT01191372
Lead Sponsor
Baxalta now part of Shire
Brief Summary

The purpose of this study is to examine the safety, tolerability and the way the body handles various single and multiple doses of ARC19499 in patients with hemophilia.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
Male
Target Recruitment
17
Inclusion Criteria

Adult male patients ≥18 to ≤75 years of age.

  • Hemophilia of any type or severity.
  • Patients who are negative for hepatitis B surface antigen (HBsAg), and human immunodeficiency virus (HIV) I and II antibody tests at screening.
  • Male patients who, with their partners, are willing to use 2 effective, methods of contraception (i.e., for both self and partner) throughout the study and for at least 3 months after discontinuation of study drug treatment.
  • All patients must be capable of understanding and complying with the protocol and must have signed the informed consent document.
Exclusion Criteria
  • Female patients;
  • If on a prophylactic coagulation factor concentrate regimen, inability or unwillingness to discontinue prophylaxis during participation in this study.
  • Existence of other co-existing bleeding disorder (e.g., von Willebrand Disease).
  • Medical history of venous or arterial thromboembolism.
  • Scheduled for elective surgical procedure during the conduct of this study.
  • Use of an investigational drug within 30 days of study entry.
  • Transaminase values > 3 x upper limit of normal (ULN) at time of screening.
  • Haemoglobin <12.0 g/dL.
  • Participants who, in the opinion of the Investigator, have a significant infection or known inflammatory process on screening.
  • Participants who have a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders.
  • Any medical condition the investigator believes would place the patient at increased risk as a result of participation in the study e.g. history of thromboembolic disease or stroke.
  • Any medication the investigator considers may increase the risk of adverse effects during the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ARC19499 Mid DoseARC19499-
ARC19499 High DoseARC19499-
saline for injectionplacebo control-
ARC19499 Low DoseARC19499-
Primary Outcome Measures
NameTimeMethod
Pharmacokinetics (PK) of ARC194992 weeks

The PK profile of ARC19499 administered by single and multiple subcutaneous injections will be characterized. The bioavailability of subcutaneously injected ARC19499 relative to that of intravenously infused ARC19499 will be determined.

Secondary Outcome Measures
NameTimeMethod
Coagulation system pharmacodynamic (PD) effects of ARC19499.2 weeks

The PD profile of ARC19499 with respect to the kinetics of thrombin generation and clot formation will be characterized.

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